4. Post-abortion Contraceptive Acceptance and Choice Determinants among Women Receiving Abortion Care at Saint Paul’s hospital, Addis Ababa, Ethiopia

Abstract

Post-abortion Contraceptive Acceptance and Choice Determinants among Women Receiving Abortion Care at Saint Paul’s
hospital, Addis Ababa, Ethiopia
Matiyas Asrat¹, MD; Delayehu Bekele², MD, MPH; Sarah D. Rominski³, PhD
^1-2Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia

³Department of Obstetrics and Gynecology, University of Michigan

Abstract

Background: The Ethiopian DHS in 2016 estimates that 412 women died of pregnancy related causes for every 100,000 live births. In 2008, an estimated 382,000 induced abortions were performed in Ethiopia. To reduce rates of unplanned pregnancy and unsafe abortion, increased access to high-quality contraceptive care is needed.

Objectives: To determine the contraceptive acceptance rate and examine factors associated with choice of contraception, in particular modern and long acting methods, in women after an abortion.

Methods: A cross-sectional study was undertaken at Saint Paul’s Hospital Millennium Medical College in Addis Ababa, Ethiopia. Women who received post abortion care service and had induced abortion from January to June 2015 were included. Logistic regression was used to determine factors associated with acceptance and choice of method of contraceptives.

Major findings: A total of 552 women were included in the study; 90.6% of them adopted modern contraception post-abortion and 19% received long acting reversible contraceptives.

Multivariable analysis showed that being a housewife, married and parity greater than one had statistically significant association with the odds of adopting any modern method of contraception after abortion. Adoption of LARC was positively associated with being student, with parity greater than one and induced type of abortion.

Conclusion: The post abortion contraceptive acceptance rate was higher than other studies done in Ethiopia. Higher parity, being married and a housewife were independent predictors of modern contraceptive method acceptance. Induced abortion, higher parity and being student were significant predictors of adoption of LARC.

Keywords: Abortion, Contraception, Long acting reversible contraceptive, Choice, Ethiopia

(Ethiopian Journal of Reproductive Health 2018;10:35-48)